Pregnancy after bariatric surgeries; best time, gestational, and neonatal outcomes
Abstract Background Many studies and organizations described bases of pregnancy timing after bariatric surgeries, but there is still a need for uniform scientific evidence for accurate timing. We aimed to assess pregnancy outcomes and neonatal findings by timing of surgery to pregnancy to compare ad...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-04-01
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| Series: | Middle East Fertility Society Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43043-023-00133-x |
| _version_ | 1827970670786510848 |
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| author | Ahmed Mahmoud Abdou Mohamed A. Wasfy Mohamed Negm Walid A. Mawla Loay M. Gertallah Ahmed Embaby Ahmed Fathy Gomaa Ahmed Lotfy Sharaf Ola A. Harb Abdel-Razik El-Sayed Abdel-Razik |
| author_facet | Ahmed Mahmoud Abdou Mohamed A. Wasfy Mohamed Negm Walid A. Mawla Loay M. Gertallah Ahmed Embaby Ahmed Fathy Gomaa Ahmed Lotfy Sharaf Ola A. Harb Abdel-Razik El-Sayed Abdel-Razik |
| author_sort | Ahmed Mahmoud Abdou |
| collection | DOAJ |
| description | Abstract Background Many studies and organizations described bases of pregnancy timing after bariatric surgeries, but there is still a need for uniform scientific evidence for accurate timing. We aimed to assess pregnancy outcomes and neonatal findings by timing of surgery to pregnancy to compare adverse perinatal outcomes among women who underwent bariatric surgery prior to pregnancy with those who had not. Patients and methods We included 200 pregnant females who previously performed different bariatric surgeries. All pregnant females were divided into three groups: early group of patients who were conceived ≤ 12 months from bariatric surgery included 50 patients (25.0%), middle group of patients who were conceived from 12 to 24 months from bariatric surgery included 50 patients (25.0%) and late group of patients who were conceived > 24 months from bariatric surgery included 100 patients (50.0%). Results There is a more liability to preterm deliveries in the early group in comparison with the middle and late group (P = 0.064). Gestational weight gain in the early group was lower than the middle and the late group (P = 0.002). Females in the early group have a more liability to inadequate gestational weight gain in comparison with in the middle and late group P < 0.001). Neonatal birth weight in the early group was significantly lower than the middle and late group P < 0.001). Conclusion We supported recommendations of postponing pregnancy for more than 12 months after performing bariatric surgery which allowed stabilization of maternal weight, allowing adequate gestational weight gain, better fetal and maternal health later on. |
| first_indexed | 2024-04-09T18:57:22Z |
| format | Article |
| id | doaj.art-a7cdd23e6600446ea51b2eac7ece4b8c |
| institution | Directory Open Access Journal |
| issn | 2090-3251 |
| language | English |
| last_indexed | 2024-04-09T18:57:22Z |
| publishDate | 2023-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Middle East Fertility Society Journal |
| spelling | doaj.art-a7cdd23e6600446ea51b2eac7ece4b8c2023-04-09T11:08:30ZengSpringerOpenMiddle East Fertility Society Journal2090-32512023-04-012811810.1186/s43043-023-00133-xPregnancy after bariatric surgeries; best time, gestational, and neonatal outcomesAhmed Mahmoud Abdou0Mohamed A. Wasfy1Mohamed Negm2Walid A. Mawla3Loay M. Gertallah4Ahmed Embaby5Ahmed Fathy Gomaa6Ahmed Lotfy Sharaf7Ola A. Harb8Abdel-Razik El-Sayed Abdel-Razik9Department of Gynecology and Obstetrics, Faculty of Medicine, Zagazig UniversityDepartment of Gynecology and Obstetrics, Faculty of Medicine, Zagazig UniversityDepartment of General Surgery, Faculty of Medicine, Zagazig UniversityDepartment of General Surgery, Faculty of Medicine, Zagazig UniversityDepartment of General Surgery, Faculty of Medicine, Zagazig UniversityDepartment of Internal Medicine, Faculty of Medicine, Zagazig UniversityDepartment of Internal Medicine, Faculty of Medicine, Zagazig UniversityDepartment of Tropical Medicine, Faculty of Medicine, Zagazig UniversityDepartment of Pathology, Faculty of Medicine, Zagazig UniversityDepartment of Gynecology and Obstetrics, Faculty of Medicine, Zagazig UniversityAbstract Background Many studies and organizations described bases of pregnancy timing after bariatric surgeries, but there is still a need for uniform scientific evidence for accurate timing. We aimed to assess pregnancy outcomes and neonatal findings by timing of surgery to pregnancy to compare adverse perinatal outcomes among women who underwent bariatric surgery prior to pregnancy with those who had not. Patients and methods We included 200 pregnant females who previously performed different bariatric surgeries. All pregnant females were divided into three groups: early group of patients who were conceived ≤ 12 months from bariatric surgery included 50 patients (25.0%), middle group of patients who were conceived from 12 to 24 months from bariatric surgery included 50 patients (25.0%) and late group of patients who were conceived > 24 months from bariatric surgery included 100 patients (50.0%). Results There is a more liability to preterm deliveries in the early group in comparison with the middle and late group (P = 0.064). Gestational weight gain in the early group was lower than the middle and the late group (P = 0.002). Females in the early group have a more liability to inadequate gestational weight gain in comparison with in the middle and late group P < 0.001). Neonatal birth weight in the early group was significantly lower than the middle and late group P < 0.001). Conclusion We supported recommendations of postponing pregnancy for more than 12 months after performing bariatric surgery which allowed stabilization of maternal weight, allowing adequate gestational weight gain, better fetal and maternal health later on.https://doi.org/10.1186/s43043-023-00133-xBariatric surgeryPregnancy timingFetalMaternal outcomes |
| spellingShingle | Ahmed Mahmoud Abdou Mohamed A. Wasfy Mohamed Negm Walid A. Mawla Loay M. Gertallah Ahmed Embaby Ahmed Fathy Gomaa Ahmed Lotfy Sharaf Ola A. Harb Abdel-Razik El-Sayed Abdel-Razik Pregnancy after bariatric surgeries; best time, gestational, and neonatal outcomes Middle East Fertility Society Journal Bariatric surgery Pregnancy timing Fetal Maternal outcomes |
| title | Pregnancy after bariatric surgeries; best time, gestational, and neonatal outcomes |
| title_full | Pregnancy after bariatric surgeries; best time, gestational, and neonatal outcomes |
| title_fullStr | Pregnancy after bariatric surgeries; best time, gestational, and neonatal outcomes |
| title_full_unstemmed | Pregnancy after bariatric surgeries; best time, gestational, and neonatal outcomes |
| title_short | Pregnancy after bariatric surgeries; best time, gestational, and neonatal outcomes |
| title_sort | pregnancy after bariatric surgeries best time gestational and neonatal outcomes |
| topic | Bariatric surgery Pregnancy timing Fetal Maternal outcomes |
| url | https://doi.org/10.1186/s43043-023-00133-x |
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